Mandibular advancement and retraction via bone anchoring devices

Abstract

Systems, methods, devices and apparatus for mandibular advancement or retraction via bone anchoring devices are described herein. In various aspects, an apparatus for treating a patient via mandibular advancement or retraction comprises a plurality of anchoring devices positioned in the patient's intraoral cavity. Each of the plurality of anchoring devices can be positioned in bone of the patient's upper jaw or bone of the patient's lower jaw. One or more connecting structures can be removably coupled to and extend between the plurality of anchoring devices in order to displace the lower jaw anteriorly or posteriorly relative to the upper jaw.

What is claimed is: 
     
       1. A mandibular repositioning apparatus comprising:
 a plurality of anchoring devices shaped for positioning in a patient's intraoral cavity, wherein each of the plurality of anchoring devices is positioned in bone of the patient's upper jaw or bone of the patient's lower jaw; and 
 one or more connecting structures removably coupled to and extending between the plurality of anchoring devices in order to displace the lower jaw in an anterior-posterior direction relative to the upper jaw, 
 wherein the one or more connecting structures and the plurality of anchoring devices are arranged to produce an anterior-posterior force component greater than a vertical force component along a vertical direction. 
 
     
     
       2. The mandibular repositioning apparatus of  claim 1 , wherein the vertical force component is zero. 
     
     
       3. The mandibular repositioning apparatus of  claim 1 , wherein the one or more connecting structures are removably couplable to the plurality of anchoring devices by a mechanism. 
     
     
       4. The mandibular repositioning apparatus of  claim 3 , wherein the mechanism is selected from one of a snap-fit coupling, magnetic coupling, interference fit, locking surface, adhesive, removable fastener, cam lock, interlocking mechanical coupling, or fastening feature. 
     
     
       5. The mandibular repositioning apparatus of  claim 1 , wherein the one or more connecting structures comprise an elastic structure. 
     
     
       6. The mandibular repositioning apparatus of  claim 5 , wherein the elastic structure is configured to exert anterior-posterior forces without applying vertical forces. 
     
     
       7. The mandibular repositioning apparatus of  claim 1 , wherein the one or more connecting structures comprise a stiff structure. 
     
     
       8. The mandibular repositioning apparatus of  claim 7 , wherein the stiff structure exhibits substantially no deformation under load. 
     
     
       9. The mandibular repositioning apparatus of  claim 1 , wherein the connecting structure comprises a plate structure. 
     
     
       10. The mandibular repositioning apparatus of  claim 9 , wherein the plate structure comprises a geometry selected from one of a circular, elliptical, triangular, and rectangular geometry. 
     
     
       11. A method for treating a patient via mandibular advancement or retraction, the method comprising:
 positioning a plurality of anchoring devices in the patient's intraoral cavity, wherein each of the plurality of anchoring devices is configured to be positioned in bone of the patient's upper jaw or bone of the patient's lower jaw; and 
 removably coupling one or more connecting structures to the plurality of anchoring devices, wherein the one or more connecting structures extend between the plurality of anchoring devices in order to displace the lower jaw in an anterior-posterior direction relative to the upper jaw, 
 wherein the one or more connecting structures and the plurality of anchoring devices are arranged to produce an anterior-posterior force component greater than a vertical force component along a vertical direction. 
 
     
     
       12. The method of  claim 11 , wherein the vertical force component is zero. 
     
     
       13. The method of  claim 11 , wherein the one or more connecting structures are removably couplable to the plurality of anchoring devices by a mechanism. 
     
     
       14. The method of  claim 13 , wherein the mechanism is selected from one of a snap-fit coupling, magnetic coupling, interference fit, locking surface, adhesive, removable fastener, cam lock, interlocking mechanical coupling, or fastening feature. 
     
     
       15. The method of  claim 11 , wherein the one or more connecting structures comprise an elastic structure. 
     
     
       16. The method of  claim 15 , wherein the elastic structure is configured to exert anterior-posterior forces without applying vertical forces. 
     
     
       17. The method of  claim 11 , wherein the one or more connecting structures comprise a stiff structure. 
     
     
       18. The method of  claim 17 , wherein the stiff structure exhibits substantially no deformation under load. 
     
     
       19. The method of  claim 11 , wherein the connecting structure comprises a plate structure. 
     
     
       20. The method of  claim 19 , wherein the plate structure comprises a geometry selected from one of a circular, elliptical, triangular, and rectangular geometry. 
     
     
       21. A mandibular repositioning apparatus comprising:
 a plurality of anchoring devices shaped for positioning in a patient's intraoral cavity, wherein each of the plurality of anchoring devices is configured to be positioned in bone of the patient's upper jaw or bone of the patient's lower jaw; and 
 means for displacing the lower jaw in an anterior-posterior direction relative to the upper jaw, wherein the means for displacing the lower jaw and the plurality of anchoring devices are arranged to produce an anterior-posterior force component greater than a vertical force component along a vertical direction.